Relationship Between Posttraumatic Stress Disorder and Sexual Difficulties: A Systematic Review of Veterans and Military Personnel.
Relationship Between Posttraumatic Stress Disorder and Sexual Difficulties: A Systematic Review of Veterans and Military Personnel.
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DOI：
10.1016/j.jsxm.2021.05.011
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Campbell S
中科院分区：
文献类型：
--
作者：
Bird ER;Piccirillo M;Garcia N;Blais R;Campbell S
创伤后应激障碍（PTSD）与性困难有关，但这种关系的细微差别仍然难以捉摸。近年来，研究有所增加，特别是在2015年发表了几篇评论之后。本系统综述探讨了创伤后应激障碍和退伍军人/军事人员的性困难之间的关系。使用PsycINFO和PubMed数据库中的PRISMA指南进行了一项系统性综述，用于检查PTSD诊断或PTSD严重程度与一系列性困难相关的研究。确定了43项研究符合本综述的纳入和排除标准。PTSD与经历至少一次性困难的风险增加有关。创伤后应激障碍与总体性功能、性欲、性满意度和性痛苦最明显相关。性唤起、性高潮功能、勃起功能障碍、早泄、性疼痛和性活动频率的结果好坏参半。PTSD症状群的回避和认知/情绪的负面变化是最常见的相关性困难。很少有研究按性别和创伤类型比较结果。临床医生应询问性健康与创伤后应激障碍症状和目标回避和消极情绪症状的关系，适当时将性暴露任务和性激活练习结合起来。本系统综述综合了过去5年中大量增加的广泛文献，包括低至中度偏倚风险的研究。现有文献的局限性包括区分创伤后应激障碍和抑郁症的挑战，创伤后应激障碍和创伤史的不一致测量，不一致的操作和测量的性结果，以及很大程度上的横断面研究设计。PTSD与一系列性结果有关。目前的文献表明，创伤后应激障碍与性反应周期（即性欲）和一个人与性活动的情感关系（例如，性困扰）。需要进行更多的研究，以增加对调查结果的信心。
Posttraumatic stress disorder (PTSD) is associated with sexual difficulties but the nuances of this relationship remain elusive. Research has increased in recent years, most notably following publication of several reviews in 2015. This systematic review examines the relationship between PTSD and sexual difficulties in veterans/military personnel. A systematic review was conducted using PRISMA guidelines in PsycINFO and PubMed databases for studies examining a diagnosis of PTSD or PTSD severity in relation to a range of sexual difficulties. Forty-three studies were identified that met inclusion and exclusion criteria for this review. PTSD was associated with increased risk of experiencing at least one sexual difficulty. PTSD was most clearly associated with overall sexual function, sexual desire, sexual satisfaction, and sexual distress. Results were mixed for sexual arousal, orgasm function, erectile dysfunction, premature ejaculation, sexual pain, and frequency of sexual activity. PTSD symptom clusters of avoidance and negative alterations in cognition/mood were most commonly associated sexual difficulties. Few studies compared results by gender and trauma type. Clinicians should inquire about sexual health in relation to PTSD symptoms and target avoidance and negative mood symptoms by incorporating sexual exposure assignments and sexual activation exercises when appropriate. This systematic review synthesizes an extensive literature that has grown substantially in the past 5 years and includes studies with low to moderate risk of bias. Limitations of the existing literature include challenges differentiating between PTSD and depression, inconsistent measurement of PTSD and trauma histories, inconsistent operationalization and measurement of sexual outcomes, and largely cross-sectional study designs. PTSD is linked to a range of sexual outcomes. The current literature suggests that PTSD is associated with sexual difficulties related to both the sexual response cycle (ie, sexual desire) and one’s emotional relationship to sexual activity (e.g., sexual distress). More research is needed to increase confidence in findings.
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DOI：
10.1111/jsm.12201
发表时间：
2014-01
期刊：
The journal of sexual medicine
影响因子：
--
作者：
Breyer BN;Cohen BE;Bertenthal D;Rosen RC;Neylan TC;Seal KH
通讯作者：
Seal KH
DOI：
10.1080/00332747.2019.1672439
发表时间：
2020-01-01
影响因子：
2.4
作者：
Badour, Christal L.;Cox, Keith S.;Rauch, Sheila A. M.
通讯作者：
Rauch, Sheila A. M.
影响因子：
2.6
作者：
Beaulieu, Gregory R.;Latini, David M.;Kauth, Michael R.
通讯作者：
Kauth, Michael R.
影响因子：
3.5
作者：
Arbanas, Goran
通讯作者：
Arbanas, Goran
影响因子：
7.3
作者：
Badour, Christal L.;Gros, Daniel F.;Acierno, Ron
通讯作者：
Acierno, Ron